04/04/2026
Sharing a few slit lamp photos highlighting the classic signs of Fuchs Heterochromic Iridocyclitis (FHIC) — a condition that often hides in plain sight because patients are generally asymptomatic. Visual symptoms will often begin when posterior subcapsular cataract develops or when there is an increase in vitreous floaters due to associated chronic intermediate uveitis.
Key features shown here:
• A remarkably quiet, uninjected eye despite chronic inflammation
• Fine, "stellate" Keratic Precipitates (KP's) scattered diffusely across the corneal endothelium
• Koeppe nodules visible over the entire 360 degrees of the pupillary margin
• Brisk, reactive pupil
• No posterior synechiae, even with long‑standing disease
FHI is subtle, asymmetric, and easy to miss — but once you know the pattern, it becomes unmistakable.
Always a privilege to capture and teach through the eye’s own storytelling.
CataractCornea.com